Individual
JENNIFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
302 3RD ST SE, SUITE 150, LOVELAND, CO 80537-6419
(970) 669-4855
(970) 669-7389
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 350-4606
(970) 350-4645
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CO
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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